Form preview

Get the free New patient forms - EPIC

Get Form
Surgical History: Surgery/Procedure: Year: Surgery/Procedure: Year: Surgery/Procedure: Year: Surgery/Procedure: Year: Allergies to Medications: Yes (detail below) No Known Drug Allergies Medication:
We are not affiliated with any brand or entity on this form

Get, Create, Make and Sign new patient forms

Edit
Edit your new patient forms form online
Type text, complete fillable fields, insert images, highlight or blackout data for discretion, add comments, and more.
Add
Add your legally-binding signature
Draw or type your signature, upload a signature image, or capture it with your digital camera.
Share
Share your form instantly
Email, fax, or share your new patient forms form via URL. You can also download, print, or export forms to your preferred cloud storage service.

How to edit new patient forms online

9.5
Ease of Setup
pdfFiller User Ratings on G2
9.0
Ease of Use
pdfFiller User Ratings on G2
Follow the steps down below to take advantage of the professional PDF editor:
1
Log in to account. Start Free Trial and register a profile if you don't have one.
2
Prepare a file. Use the Add New button. Then upload your file to the system from your device, importing it from internal mail, the cloud, or by adding its URL.
3
Edit new patient forms. Rearrange and rotate pages, add and edit text, and use additional tools. To save changes and return to your Dashboard, click Done. The Documents tab allows you to merge, divide, lock, or unlock files.
4
Get your file. Select your file from the documents list and pick your export method. You may save it as a PDF, email it, or upload it to the cloud.
pdfFiller makes dealing with documents a breeze. Create an account to find out!

Uncompromising security for your PDF editing and eSignature needs

Your private information is safe with pdfFiller. We employ end-to-end encryption, secure cloud storage, and advanced access control to protect your documents and maintain regulatory compliance.
GDPR
AICPA SOC 2
PCI
HIPAA
CCPA
FDA

How to fill out new patient forms

Illustration

How to fill out new patient forms

01
Start by downloading the new patient forms from the clinic's website or ask for a physical copy at the front desk.
02
Fill in your personal information like your full name, date of birth, and contact details in the designated fields.
03
Provide your medical history, including any pre-existing conditions, allergies, and a list of current medications you are taking.
04
Answer all the relevant questions regarding your health and lifestyle, such as smoking habits or previous surgeries.
05
If you have health insurance, include your insurance information along with any necessary documents.
06
Make sure to read and understand all the terms and conditions mentioned in the form before signing and dating it.
07
Once you have completed the forms, return them to the clinic either by submitting online or handing them in-person.
08
It's advisable to arrive a few minutes early on the day of your appointment to double-check the forms and make any necessary changes.

Who needs new patient forms?

01
New patient forms are required for individuals who are visiting a healthcare facility for the first time.
02
This includes individuals who have recently relocated, changed healthcare providers, or have never received medical care before.
03
By filling out these forms, healthcare professionals can gather important information about the patient's medical history and provide appropriate care.
Fill form : Try Risk Free
Users Most Likely To Recommend - Summer 2025
Grid Leader in Small-Business - Summer 2025
High Performer - Summer 2025
Regional Leader - Summer 2025
Easiest To Do Business With - Summer 2025
Best Meets Requirements- Summer 2025
Rate the form
4.8
Satisfied
34 Votes

For pdfFiller’s FAQs

Below is a list of the most common customer questions. If you can’t find an answer to your question, please don’t hesitate to reach out to us.

It's simple using pdfFiller, an online document management tool. Use our huge online form collection (over 25M fillable forms) to quickly discover the new patient forms. Open it immediately and start altering it with sophisticated capabilities.
With pdfFiller, the editing process is straightforward. Open your new patient forms in the editor, which is highly intuitive and easy to use. There, you’ll be able to blackout, redact, type, and erase text, add images, draw arrows and lines, place sticky notes and text boxes, and much more.
The easiest way to edit documents on a mobile device is using pdfFiller’s mobile-native apps for iOS and Android. You can download those from the Apple Store and Google Play, respectively. You can learn more about the apps here. Install and log in to the application to start editing new patient forms.
New patient forms are documents that collect essential information about a patient before their first visit to a healthcare provider. These forms typically gather medical history, personal information, and insurance details.
New patients seeking medical care for the first time at a healthcare facility are required to file new patient forms.
To fill out new patient forms, patients should provide accurate personal details, medical history, and insurance information. It is advisable to read the instructions carefully and seek assistance if needed.
The purpose of new patient forms is to collect relevant information to ensure quality care, facilitate communication between the patient and healthcare provider, and process insurance claims.
New patient forms typically require personal identification details, contact information, medical history, current medications, allergies, and insurance information.
Fill out your new patient forms online with pdfFiller!

pdfFiller is an end-to-end solution for managing, creating, and editing documents and forms in the cloud. Save time and hassle by preparing your tax forms online.

Get started now
Form preview
If you believe that this page should be taken down, please follow our DMCA take down process here .
This form may include fields for payment information. Data entered in these fields is not covered by PCI DSS compliance.